NPIMap

Organization Active NPI

South Cove Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Boston, MA
National Provider Identifier
1700801263
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
4140 Issued in MA
Legal business name
SOUTH COVE COMMUNITY HEALTH CENTER, INC.
Practice address
885 Washington St
Boston, MA 02111-1416
Phone
(617) 521-6800
Fax
(617) 521-6899
NPI assigned
Jul 13, 2006
Last updated
Apr 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Eric Tiberi
Title
Ceo
Phone
(617) 521-6708

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 4140 MA Primary

Addresses

Primary practice location

885 Washington St
Boston, MA 02111-1416

Mailing address

145 South St
Boston, MA 02111-2826
Phone (617) 521-6713

Other practice location 1

277 Commercial St
Malden, MA 02148-6708
Phone (781) 912-2500

Other practice location 2

88 Holmes St
Quincy, MA 02171-2431
Phone (617) 318-3200

Other practice location 3

435 Hancock St
Quincy, MA 02171-2428
Phone (617) 318-3300

Other practice location 4

145 South St
Boston, MA 02111-2826
Phone (617) 521-6700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA6 enrollments

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
O20040323001166 MA Part B Supplier - Clinic/Group Practice 8325939952 Receives reassigned benefits from 31 practitioners
Practice locations: Quincy, MA; Malden, MA; Boston, MA
O20101103001151 MA Part A Provider - Federally Qualified Health Center (FQHC) 8325939952 Practice locations: Boston, MA
O20110103000087 MA Part A Provider - Federally Qualified Health Center (FQHC) 8325939952 Practice locations: Quincy, MA
O20111101000605 MA Part A Provider - Federally Qualified Health Center (FQHC) 8325939952 Practice locations: Boston, MA
O20131223000433 MA Part A Provider - Federally Qualified Health Center (FQHC) 8325939952 Practice locations: Quincy, MA
O20180607001018 MA Part A Provider - Federally Qualified Health Center (FQHC) 8325939952 Practice locations: Malden, MA

NPI to CCN mapping 5

The Medicare certification numbers (CCNs) connected to NPI 1700801263. Details of each certification follow.

Federally qualified health center certification: CCN 221821

Legal name
SOUTH COVE COMMUNITY HEALTH CENTER, INC.
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 1, 1991
Last certification
Oct 1, 1991
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
May 9, 1972 in MA
Enrollment address
885 Washington St
Boston, MA 21111415

Federally qualified health center certification: CCN 221894

Legal name
SOUTH COVE COMMUNITY HEALTH CENTER, INC.
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 24, 2011
Last certification
Jan 24, 2011
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
May 9, 1972 in MA
Enrollment address
435 Hancock St
Quincy, MA 21712428

Federally qualified health center certification: CCN 221885

Legal name
SOUTH COVE COMMUNITY HEALTH CENTER, INC.
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 24, 2011
Last certification
Jan 24, 2011
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
May 9, 1972 in MA
Enrollment address
145 South St
Boston, MA 21112826

Federally qualified health center certification: CCN 221918

Legal name
SOUTH COVE COMMUNITY HEALTH CENTER, INC.
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Dec 30, 2013
Last certification
Dec 30, 2013
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
May 9, 1972 in MA
Enrollment address
88 Holmes St
Quincy, MA 21712431

Federally qualified health center certification: CCN 221950

Legal name
SOUTH COVE COMMUNITY HEALTH CENTER, INC.
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jun 11, 2018
Last certification
Jun 11, 2018
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
May 19, 1972 in MA
Enrollment address
277 Commercial St
Malden, MA 21486708

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

277 Commercial St
Malden, MA 02148
Phone (207) 344-4110

Ownership & related parties

All disclosed owners & managing parties 16

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Cindy Chen Individual Corporate Director Oct 27, 2010
Corporate Director Dec 1, 2010
Corporate DirectorDirector Dec 1, 2010
Corporate DirectorBoard Member Jul 1, 2003
May Kwan Individual Corporate DirectorDirector Jul 1, 2022
Corporate Director Dec 13, 2022
Corporate DirectorDirector Jan 1, 2023
Corporate DirectorDirector Dec 13, 2022
Mai Du Individual Corporate DirectorDirector Jul 1, 2011
Corporate DirectorDirector Jul 1, 2016
Corporate DirectorDirector Jul 1, 2014
Corporate DirectorBoard Member Jul 1, 2011
I-Min Lee Individual Corporate Director Oct 27, 2010
Corporate Director Dec 1, 2010
Corporate DirectorDirector Dec 1, 2010
Corporate DirectorBoard Member Jul 1, 2006
David Yee Individual Corporate DirectorDirector Jul 1, 2014
Corporate DirectorDirector Jul 1, 2016
Corporate DirectorDirector Jul 1, 2005
Corporate DirectorBoard Member Jul 1, 2005
Eric Tiberi Individual Corporate OfficerChief Executive Officer Jan 1, 2023
W-2 Managing EmployeeChief Executive Officer Jan 1, 2023
Peter NG Individual Corporate DirectorDirector Jul 1, 2017
Corporate DirectorDirector Jan 1, 2017
Corporate DirectorBoard Member Jul 1, 2017
April Tang Individual Corporate Director Oct 27, 2010
Corporate Director Dec 1, 2010
Corporate DirectorDirector Dec 1, 2010
Corporate DirectorBoard Member Jul 1, 1975
Thomas Birch Individual Corporate Director Oct 27, 2010
Corporate Director Dec 1, 2010
Corporate DirectorDirector Dec 1, 2010
Corporate DirectorBoard Member Jul 1, 2000
Thuy Tran Individual Corporate Director Oct 27, 2010
Corporate Director Dec 1, 2010
Corporate DirectorDirector Dec 1, 2010
Corporate DirectorBoard Member Jul 1, 2007
Alvin Wing Individual Corporate Director Oct 27, 2010
Corporate Director Dec 1, 2010
Corporate DirectorDirector Dec 1, 2010
Corporate DirectorBoard Member Jul 1, 2006
CHI Ma Individual Corporate Director Oct 27, 2010
Corporate Director Dec 1, 2010
Corporate DirectorDirector Dec 1, 2010
Corporate DirectorBoard Member Jul 1, 1991
Stephen V Tang Individual Corporate Director Oct 27, 2010
Corporate Director Dec 1, 2010
Corporate DirectorDirector Dec 1, 2010
Corporate DirectorBoard Member Jul 1, 1973
Herman G Lee Individual Corporate Director Oct 27, 2010
Corporate Director Dec 1, 2010
Corporate DirectorDirector Dec 1, 2010
Corporate DirectorBoard Member Jul 1, 1973
Susan Chinsen Individual Corporate DirectorDirector Jul 1, 2016
Corporate DirectorDirector Jul 1, 2014
Corporate DirectorBoard Member Jul 1, 2014
Meei-Huey Li Individual Corporate DirectorDirector Jul 1, 2012
Corporate DirectorDirector Jul 1, 2016
Corporate DirectorBoard Member Jul 1, 2012

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 39

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 39

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775433600000",
    "number": "1700801263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 SOUTH ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021112826",
            "telephone_number": "617-521-6713",
            "fax_number": "617-521-6799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 WASHINGTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111416",
            "telephone_number": "617-521-6800",
            "fax_number": "617-521-6899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "277 Commercial St",
            "address_purpose": "LOCATION",
            "city": "Malden",
            "state": "MA",
            "postal_code": "021486708",
            "country_code": "US",
            "telephone_number": "781-912-2500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "88 Holmes St",
            "address_purpose": "LOCATION",
            "city": "Quincy",
            "state": "MA",
            "postal_code": "021712431",
            "country_code": "US",
            "telephone_number": "617-318-3200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "435 Hancock St",
            "address_purpose": "LOCATION",
            "city": "Quincy",
            "state": "MA",
            "postal_code": "021712428",
            "country_code": "US",
            "telephone_number": "617-318-3300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "145 South St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021112826",
            "country_code": "US",
            "telephone_number": "617-521-6700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTH COVE COMMUNITY HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A",
        "authorized_official_last_name": "TIBERI",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "617-521-6708"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "MA",
            "license": "4140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.